Florida Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights

State:
Multi-State
Control #:
US-AHI-010
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is a certificate of group health plan coverage. This form is evidence that the employee is covered under the group health care plan.
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How to fill out Certificate Of Group Health Plan Coverage With Statement Of HIPAA Portability Rights?

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FAQ

The HIPAA certificate, also known as certificate of creditable coverage, documents the health coverage you had before you lost coverage. If you had less than 18 months of continuous coverage, the certificate includes the dates any waiting period began and when coverage began and ended.

In general, a health plan offered by an employer or employee organization that provides health coverage to employees and their families.

The definition of ?group health plan? is adopted from the statutory definition at section 1171(5)(A), and excludes from the rule as ?health plans? only the few insured or self-insured ERISA plans that have less than 50 participants and are self administered.

ANSWER: A health plan with fewer than 50 participants that is administered by the sponsoring employer is excluded from the definition of a ?group health plan? under HIPAA's administrative simplification provisions, which include the privacy and security requirements.

Health plan means an individual or group plan that provides, or pays the cost of, medical care (as defined in section 2791(a)(2) of the PHS Act, 42 U.S.C. 300gg-91(a)(2)).

ERISA defines a "group health plan" as an employee welfare benefit plan that provides medical care to employees or their dependents (directly or through insurance, reimbursement, or otherwise).

Group Health Plan ? The component of the employer that includes individuals who require access to other employees' PHI to perform their day-to-day job functions of administering health benefits for those employees. These individuals usually work within the human resources/employee benefits area of the employer.

Health plans: Medicare, Medicaid, Medicare+Choice, and Medicare supplement insurers. Long-term care insurers (excluding nursing home fixed-indemnity policies) Employer-sponsored group health plans. Government- and church-sponsored health plans.

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Florida Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights